Rahul Gupta, MD

Primary specialty

Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X

License

02039 Issued in WV

Practice address

108 Lee Street East
Kanawha Charleston Health Department
Charleston, WV 25301

Phone

(304) 344-5243

NPI assigned

Apr 6, 2006

Last updated

May 22, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400716800000",
    "number": "1255393948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 LEE STREET EAST",
            "address_2": "KANAWHA CHARLESTON HEALTH DEPARTMENT",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "25301",
            "telephone_number": "304-344-5243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 LEE STREET EAST",
            "address_2": "KANAWHA CHARLESTON HEALTH DEPARTMENT",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "25301",
            "telephone_number": "304-344-5243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "RAHUL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2014-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "02039",
            "primary": false
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "WV",
            "license": "02039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0021340003",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carlon Renay Gunn
• Amber Alena Gunno, M.A.
• Erica Diane Gunnoe, FNP-BC
• Ava Gunter
• Landys Zizhuo Guo
• Jamie M Gurbacki, BSN RN CRNA
• Christopher Gurganious
• Kayla Gurley
• Ravi Gurujal, MD
• Mark Leroy Gustafson, D.O.

• Public Health & General Preventive Medicine Physician in Charleston, WV
• Providers in Charleston, WV by specialty
• Public Health & General Preventive Medicine Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.